Free STATE OF MINNESOTA - Minnesota

STATE OF MINNESOTA COUNTY OF DAKOTA

DISTRICT COURT FIRST JUDICIAL DISTRICT

In the Matter of the Petition of

JUDGMENT AND DECREE
_______________________________________ and ____________________________________ his wife _________________________________ to adopt ___________________________________
(specify name desired by adoptive parents)

Court File No.: __________________

DATE

A MINOR CHILD
The above-entitled matter came regularly on for hearing before the above-named court, at Chambers, on the ________________________ day of _____________________________________, 20_____; and the court being fully advised in the premises, did, on the ____________________ day of ________________________________, 20________, duly make and file its findings and order granting the prayer of the petitioners herein. Now, pursuant to said order and on motion of _______________________________________________, Attorney for Petitioners, it is hereby adjudged and decreed that from and after the date hereof, the said child, having been given the name ________________________________________________________________ by petitioners, and File No. _____________________________ by the Commissioner of Human Services of the State of Minnesota, shall be deemed and taken to be the child and heir of the petitioners above named in all respects the same as though born to them in lawful wedlock. It is further adjudged and decreed that the name of said child be, and the same is hereby legally changed to and established as ___________________________________________________________.

BY THE COURT: CAROLYN M. RENN, COURT ADMINISTRATOR

By______________________________________________ Court Specialist